Job DescriptionJob Summary:
Assists with the management and supervision of the Risk Management Program for the organization. Utilizes educational knowledge and clinical expertise to ensure compliance with applicable laws and regulations. Develops and implements appropriate measures to identify and minimize the risk of injury to patients, visitors and staff, and to minimize loss and/or damage to property within the organization. Responds to patient or visitor complaints/concerns that cannot be dealt with at the facility level. Develops and deploys educational content and best practices across the system. Supervises the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.
Job Requirements:
Education and Work Experience:
- Bachelor's degree in nursing or related field or equivalent combination of education/related experience: Required
- Master's degree: Preferred
- Five years' technical experience: Preferred
- One year's leadership experience: Preferred
Essential Functions:
- Develops programs and initiatives for the system-wide risk management program. Ensures the system's risk management program is consistent with the established philosophies and procedures of the organization. Develops, maintains and disseminates written system-wide policies/procedures related to risk management activities. Represents risk management at system-wide clinical best practice meetings.
- Reviews operational risks and assists in the development and deployment of various risk management strategies to mitigate legal risks associated with practice and environmental safety gaps for optimal patient safety, clinical outcomes, and regulatory compliance. Utilizes the electronic medical record to identify co-morbidities, complications and compliance with hospital policies/procedures, as well as community standards of care.
- Assists with the management of incidents in accordance with all applicable regulatory, state, and organizational requirements at the system level. Researches and provides guidance to clinical risk management issues that cannot be solved at the facility level. Helps to maintain system-wide occurrence reporting system. Tracks and trends system incident data through system wide incident reporting system. Creates aggregate reports to identify and communicate trends in patient complaints, patient service programs and risk management issues to executive management. Ensures departmental support and participation in the patient safety process by evaluating individual files and trend data for compliance and regulatory requirement issues.
- Assists with investigation and reporting of findings/information to claims staff for PCEs -- including location/site/clinic involved, identity of involved parties (full name, job title), witnesses (how they are/were involved), narrative description of the events, issues identified and recommendations for additional investigation. Works with legal counsel to coordinate investigations, process and defend claims against the facility.
- Collaborates with all applicable departments (i.e. medical staff services, quality, regulatory, education, IT, legal, etc.) regarding risk management issues and concerns. Reduces duplication of work across system by collaborating with top system professionals/specialists to leverage and deploy best practices. Provides day-to-day technical and clinical leadership while performing escalated or complex duties.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
